You may be surprised to learn that hormone surges may make you more vulnerable to gum disease. Here’s why: More female hormones (estrogen and progesterone) cause more blood to flow to your gums, which causes them to become more sensitive and “overreact” to anything that may irritate them. “Women are more sensitive to the presence of plaque and bacteria around the gums when the hormone levels are high,” says ADA dentist Dr. Sally Cram. “This can cause your gums to become inflamed, swell and bleed. If left untreated, ongoing inflammation in the gums can also lead to bone loss around the teeth and eventual tooth loss.”

Your hormones are a fact of life, but gum disease not so much. It’s actually preventable and reversible in its early stages. So what’s a woman to do? Start by paying extra attention and taking good care of your mouth during these five times in your life.
Puberty
Raging hormones can leave a teenage girl’s gums red, swollen and bleeding. (In some cases, the gums’ overreaction to plaque may cause gums to actually grow bigger.) Some teenage girls may also find themselves developing canker sores, which usually heal on their own.

The best treatment? Prevention. “Brush twice a day with a fluoride toothpaste, floss once a day and see your dentist regularly,” Dr. Cram says. “Removing plaque and bacteria thoroughly every day can reduce the inflammation, discomfort and bleeding.”
Your Period
You may not notice any change in your mouth in the days before your period. (If fact, most women don’t). But if you have swollen gums, bleeding gums, canker sores or swollen salivary glands, hormones may be to blame. These symptoms should subside after your period stops — but if they don’t, then the increased bleeding by your gums is signaling something else. Talk to your dentist if you have questions about how your monthly cycle and apparent health of your gums are related.

Stay on top of your daily dental health routine, and if you find you have more sensitivity than usual before or during your period, schedule cleanings for about a week after it ends.
Using Birth Control Pills
Inflammation may have been a side effect for women taking birth control in the past, but today there’s good news for your gums. The levels of estrogen and progesterone in today’s birth control prescriptions are too low to cause any issues with your gums, according to a February 2013 review in the journal Periodontology 2000.

Still, it’s important make sure your health history forms at the dentist are up to date if you are taking birth control. Here’s why:

Your dentist may need to write you a prescription, and some medications can make your birth control less effective.
If you’re having a tooth removed, you may be more at risk for a painful complication called dry socket. According to the June 2016 Journal of the American Dental Association, women who use oral contraceptives are nearly twice as likely to experience dry socket compared to those who do not. Of 100 women who took birth control, 13.9 experienced dry socket. Only 7.54 of 100 women who did not take birth control had this complication.

Pregnancy
During pregnancy, your body is in hormonal hyper drive. Some women find they have developed pregnancy gingivitis — a mild form of gum disease that causes gums to be red, tender and sore. It is most common between the second and eighth months of pregnancy, and you can help keep it under control through good daily habits. “Stay on top of your brushing, stay on top of your flossing and be meticulous about the care of your entire body,” says ADA dentist Dr. Alice Boghosian.

Visiting your dentist during pregnancy is incredibly important — and absolutely safe. In fact, your dentist may recommend more frequent cleanings during your second trimester and early third trimester to help control gingivitis. If you notice any other changes in your mouth during pregnancy, see your dentist.
Menopause
Menopause is a huge change in a woman’s life and a woman’s mouth, including altered taste, burning sensations in your mouth and increased sensitivity. “They’re all related to hormones,” Dr. Boghosian says.

Still, there are two critical changes to be aware of: dry mouth and bone loss. “Saliva cleanses the teeth and rinses cavity-causing bacteria off your teeth,” Dr. Boghosian says. “When you have dry mouth, your saliva flow decreases and you’re more at risk for cavities.”

Talk to your dentist if your mouth is feeling dry. “If dry mouth is a problem, suck on ice chips or sugar-free candy, drink water or other caffeine-free drinks and use an over-the-counter dry mouth spray or rinse to help reduce the dryness,” Dr. Cram says. “Your dentist may also recommend prescription strength fluoride toothpaste that helps reduce the risk of tooth decay.”

What you eat can also make a difference when it comes to dry mouth. Avoid salty, spicy, sticky and sugary foods, as well as and dry foods that are hard to chew. Alcohol, tobacco and caffeine can also make dry mouth worse. At night, sleeping with a humidifier on in your room can also make a difference.

Losing bone in your jaw can lead to tooth loss. “The decreased estrogen that occurs with menopause also puts you at risk for a loss of bone density,” Dr. Boghosian says. “Signs of bone loss in your jaw can be something as simple as receding gums. When your gums recede, more of your tooth is exposed and that puts more of your tooth at risk for decay. And if your mouth is dry, that’s a double whammy.”

To help reduce your risk of bone loss, work with your dentist or physician to make sure you’re getting the right amount of calcium and vitamin D, don’t smoke and avoid excessive alcohol consumption.

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